=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063349801
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ANDERSON, ROSAS AND BARRAGAN DENTAL ASSOCIATES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/06/2026
-----------------------------------------------------
Last Update Date | 05/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2915 HUNTER MILL RD SUITE 5
-----------------------------------------------------
City | OAKTON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22124
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-281-4456
-----------------------------------------------------
Fax | 703-281-4611
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2915 HUNTER MILL RD SUITE 5
-----------------------------------------------------
City | OAKTON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22124
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-281-4456
-----------------------------------------------------
Fax | 703-281-4611
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JOSHUA ANDERSON
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 703-281-4456
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------